HomeMy WebLinkAbout4475 Balsam Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE �--
Inspection Type: L/1 �' ) ��r► r` �\�, a
Job Address:�-
Permit Number: a o! S D 14, 8
U� U rovc�
❑ No one available for inspection: Time 1) _ 9 (A"M1/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-2345933
Date:--?// / S9 Inspector: —T'b
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Bulid`Rg In `Diision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 3"02 g - L/ a Q� o r-r—
Job Address: `-/ 4 75' o )S-:� n, S
Permit Number: -Q D ) $ o / S a
❑ No one available for inspection: Time JQ = -,913 A�M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: 7T71b
DO NOT REMOVE THIS NOTICE
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i CITY OF WHEAT RIDGE
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` Buirding Inspectiobi�rision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -3c),;>- o a l ( ---, L
Job Address: N Ll -7 5— F > c, is u n,
Permit Number: -,P 0 ) s D l 1 S a
❑ No one available for inspection: Time I -- $—) A
Re -Inspection required: S No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 6, 1 g Inspector: —T -b
DO NOT REMOVE THIS NOTICE
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City of Wheat Ridge
Yr..
E -Res. Siding Replacement PERMIT - 201801682
PERMIT NO: 201801682 ISSUED: 06/08/2018
JOB ADDRESS: 4475 Balsam ST EXPIRES: 06/08/2019
JOB DESCRIPTION: Install 3 squares of D4.5 Dutchlap vinyl siding to front and back of the
home per manufacturer's specifications.
*** CONTACTS ***
OWNER (720)376-0438 Dillon Marjorie/Jeanie Moszer
SUB (770)433-8211 Gary Cummings 170102 Home Depot U.S.A., Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,728.00
FEES
Total Valuation 0.00
Use Tax 57.29
Permit Fee 93.35
** TOTAL ** 150.64
*** COMMENTS ***
*** CONDITIONS ***
**A MID -INSPECTION IS REQUIRED FOR HOUSE WRAP PRIOR TO SIDING INSTALLATION.
A final inspection is required at completion.
Work shall comply with 2012 IRC and ordinances adopted by the City of Wheat Ridge. Work is
subject to field inspections. A mid -inspection is required for house wrap prior to siding
installation. A final inspection is required at completion.
City of Wheat Ridge
E -Res. Siding Replacement PERMIT - 201801682
PERMIT N0: 201801682 ISSUED: 06/08/2018
JOB ADDRESS: 4475 Balsam ST EXPIRES: 06/08/2019
JOB DESCRIPTION: Install 3 squares of D4.5 Dutchlap vinyl siding to front and back of the
home per manufacturer's specifications.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed rs disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applice code or any frdmance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City Of
�/' `7`I heat Pidge
muNrry DEVELOPMENT
Building & Inspection Services Division
7500 W. 29'h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: hermits aDci.wheatr idge.co.us
FOR OFFICE USE ONLY
Date: /
Plar✓Permit # C,d �Z
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. I
Property Address:
4475 Balsam St, Wheat Ridge, CO 80033
Property Owner (please print): Jeanie Moszer Phone: 720 376-0438
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail: Phone:
Contractor: Home Depot USA
Contractors City License #:
170102
Contractor E-mail Address: Jamie reedysetgo.com
Sub Contractors:
Phone: 801 710-2507
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft.ILF
Amps
Install 3 squares of D4.5 Dutchlap vinyl siding to front and back of the home, per manufacturer's
specification.
Btu's
Gallons
Squares Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 2728.00
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pemrit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OW.IVER) (CONTRACTOR) or (AUTHORIZE -a EPRESEA'TATIVE) of (OWNER) (CONeACTOR)
Electronic Signature (first and last name): t �& DATE: 6/6/18
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: #
l�
2b) � 55' h A VY---1
Lagenia Reimer VO 1 D *FePM l T
From: Jeremy Wiles <jwiles@interstateroof.com>
Sent: Friday, June 8, 2018 10:00 AM
To: CommDev Permits
Subject: 201708931
Categories: Gina
Please cancel our roofing permit for 10370 W 35th Ave. The customer cancelled, we never roofed the house.
Thanks,
Jeremy Wiles
Interstate Roofing
M
A i CITY OF WHEAT RIDGE
T"
Building Inspection=Dfrision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
InspectionType: izvU'�
Job Address:
Permit Number: 2 c,1 i -7 0 z 4_ SS
❑ No one available for inspection: Time ' ` 'AM/PM
Re -Inspection required: Yes N__
When corrections have been made, call for re -inspection at 303-234-5933
Date: (-, ' -7 , / �- Inspector:
DO NOT REMOVE THIS NOTICE
Lagenia Reimer
From: Carrie Nordlund <cnordlund@mrpprogram.com>
Sent: Thursday, April 12, 2018 1:11 PM
To: Lagenia Reimer
Subject: Permits under Armor LLC
Lagema,
Thank you for taking the time to speak with me today regarding the open roof permits pulled by Armor LLC.
As we discussed, Armor was contracted through the MadSky Managed Repair Program on several roofs but the
company (Armor LLC) has since dissolved due to the owner loosing a leg in a motorcycle accident so we have
assigned another one of our contractors (Bear Brothers Roofing) to finish out the permits on the jobs. Please
allow them to pull job cards, schedule final roof inspections, and whatever else is needed on the following jobs
in Wheat Ridge:
• 4525 Flower Street (Patrick Bigley, Mary Carver) )( Z110622`l
• 4475 Balsam Street (Marjorie Dillon, Jeanie Moszer)%,
• 6185 West 30th Avenue (Bryce & Norma Tourmer), 2
• 4580 Upham Street (Elizabeth & Evan Templeton) 2-'013 6
• 3690 Jay Street (Clifford & Carolyn Randall))( 20 170 47 20
Please feel free to contact me with any questions or problems.
Thank you again for your assistance in this matter.
Carrie
KADSKY
MANAGED REPAIR
PROGRAM
Carrie Nordlund - Quality Control Specialist
(C) 773-780-7818
MadSky Managed Repair Program
365 Inverness Pkwy, Suite 150
Englewood, CO 80112
http://www.madskymrp.com/
This email, along with any attachments, is for the sole use of its intended recipient, and may contain confidential
information or information that is otherwise protected from disclosure. If you are not the intended recipient, or if you have
received this message in error, please delete this message; you may not copy or disclose its contents to anyone.
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /t c F
Job Address: 'Itl % S
Permit Number: 'I U/ 7U7 Cd S F
r/VU OP
44)
1_367 h
❑ No one available for inspection: Time "y (A /PM
Re -Inspection required: Yes N
When corrections have been made, call for re -inspection at 303-234-5933
iI p �
Date: � 1�' 7/ ' % Inspector: /
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201702455
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A;�-inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€'"s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
PERMIT NO:
201702455
ISSUED:
06/23/2017
JOB ADDRESS:
4475 Balsam ST
EXPIRES:
06/23/2018
JOB DESCRIPTION:
Residential Re -roof
to install Tamko
Heritage asphalt
shingles 28 sq.
*** CONTACTS ***
OWNER (720)376-0438
MOSZER JEANIE
SUB (720)383-4660
Glenn Renner
170262 Armor LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2406 / BEL AIRE,HILLCREST
HEIGHTS, ME BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT
VALUATION:
8,463.00
FEES
Total Valuation
0.00
Use Tax
177.72
Permit Fee
188.45
** TOTAL **
366.17
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A;�-inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€'"s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT -201702455
PERMIT NO: 201702455 ISSUED: 06/23/2017
JOB ADDRESS: 4475 Balsam ST EXPIRES: 06/23/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles 28 sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by �heJAal0"cr0fthee property and am authorized to obtain this permit and perform the work described and aroved in conjunction with
thiserm t- I+furtherattest that I am legally authorized to include alt entities named within this document as parties to thework to be
perrmed and that all wr__perfoimed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature OF OWNED or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in thepennit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans
and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a pen -nit for or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick (% ()�)-C/ss-
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 13, 2017 3:21 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4475 Balsam St
Jeanie Moszer
720-376-0438
jmoszer91 @hotmail.com
c�-
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name Armor LLC
Contractor's License 170262
Number (for the City of
Wheat Ridge)
Contractor Phone 720-383-4660
Number
Contractor Email Address billing.armorllc@gmail.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email billing.armorllc@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing Asphalt Shingles: Tamko Heritage
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 28
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
0)
TOTAL SQUARES of all
roofing material for this
proj ect
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
28
Remove and replace Asphalt Shingles on House and Garage,
pitch 5/12
8463
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Glenn Renner
Email not displaying correctly? View it in your browser.
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i CITY OF WHEAT RIDGE a
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 140
Job Address: Lqq-�5 dAt,S.IJA4 St�
Permit Number: 20I:2c3ZL/5.
❑ No one available for inspection: Time I � `�_ C' AMI&I
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
i�/_Ie _!
DO NOT REMOVE THIS NOTICE
H City of Wheat Ridge Building Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line 303-234-5933
Property Address:
Address:
City, State, Zip:
Contractor.
M
Plumbing City License #: Mechanical City License #:
Company Company:
Sq FtJL.Ft added: Squares — BTU's — Gallons Amps —
mw���
Plan #
Permit
Property Address:
Prope rye {please print }. Ph one.
Mailing s. (if different than property address)
A d d ress.
City, State, Zip:
EM
City License # City License
City License
NAM a s AT r =� DATE: _' h
CITY OF WHEAT RIDGE
/ Building Inspection Division
(303) 234-5933 Inspection line
~JJ (303) 235-2855 Office - (303) 235-2857 Fax
INSPECTION NOTICE `
Inspection Type: A';4
Job Address/Permit Number: ?1`-f 75 13-4I s, wy s
❑ No one available for inspection: Time 3 Vg~' AM/PM
Re-Inspection required: Yes No
`When corrections have been made, call for re-inspection at 303-234-5933
Date: d '3 Inspector:
DO NOT REMOVE THIS NOTICE
" : City of Wheat Ridge
Residential Plumbing PERMIT
PERMIT NO: 090370 ISSUED:
JOB ADDRESS: 4475 BALSAM.. ST EXPIRES:=
DESCRIPTION: 12 if sewer repair in yard
CONTACTS.***
owner 303/423-0563 Dick Dillon "
sub- 303/975-0005 -'Bob/Kathy-Wernly - 06-020(
r10/.17/2C
ibkat, Ir.
PARCEL INFO ' zzP
ZONE CODE: UA USE: : UA:.
SUBDIVISION:.:. 0311: BLOCK/LOT#: 0/.
x es
FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,'000
FEES t~
Permit Fee 108.30 u,
Total Valuation .00
Use. Tax 54.00
**TOTAL .162.30
Conditions;
Subject to field inspections.
Ihereby certify that the setback distances proposed by this permit application are accurate, and do not w oldie a„p~1 ahlaa
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of !record ~pat~dl
measurements shown, and egations made are accurate; thatI have read and agreeto abide: by all conditions piin.i~✓ et t
x'
application and. that ume full responsibility for compliance with the Wheat Ridge Building Code (I.B
applicable VX7 as, for work under this pe 't. Tans subject to field inspection.
20
fi..,
Signature of ontractor/owner dat
1. This permit was issued in accordance with the provisions set forth in your application and is subject G4 GtS~y - ~ ~ way r. '
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any"
gGites c$i71C
ordinances. of the City,.
2. This permit shall expire. 180 days. from the issue date.: Requests foran extension'.
date. An extension may be granted at the discretion of the Building Official::
3. If. this. permit. expires, ..a new permit may be acquired for a fee of one-half thea
changes have. been or will be made in the original plans and specifications and an
exceeded one (1) year. If changes. have been or if suspension or abandonment axe.
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water cal
5.: Contractor shall notify the Building Inspector: twenty-four -(24)hours in advance:'
written approval: on inspection card before proceeding with successive phases of '.t [,N( G- WEAT RIDGE
67 The issuance of a permit or the approval of drawings: and specifications shall not
2;01 PIN Cdba
an. approval' of, any violation of the provisions of the building codes or any othe
A11. plan review is subje to field inspections. { HPI or GORY
',Err T r-1
d0 CN100140D AMOUNT
Signature of Chief B Official date N~rSF Li' if Sewer reGd1'r '1 162.30
0f .s70
INSPECTION RE EST LINE: (303)234-5933 BUILDING OFFICE:' Pe fifd'~ Fee 10&.30
REQUESTS MUS. BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION Use Tax 54.00
PA;i,;.r,'T RECEIVED MOUNT
- ;.003 162.30
de;
Ai. 162.30
oFW"E9' City of Wheat Ridge Building Division
°m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 `
~ocoen~o Inspection Liner-303-234-5933
Building Permit Application
Date:
Plan
Permit O W~31C)
s!aP?]%~~?~ _T(~7Fi ALA S'I .
Property Owner (please print): IGZ a Phone: :31 q-gS- 0563
Mailing Address: (if different than property address)
Address:
City, State, Zip:
: - BOSKAT, intc .
Contractor License ~o0~00 Phone: 3!975-~5
N INN N,dG . w
Electrical City License Plumbing City License Mechanical City, License*
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use df s ace d'escri tion)` Construction Value:
3.000
(as. calculated per the Building aluatipn Data sheet)
EXCr.V/~TtO>`M ,1A ~fA9,0
Plan Review (due at time of submittal): $
FOR sWER sERy IcE `~Pn1R.
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that l assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to ection:
C/RLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIV of ER) (CONTRATOR)
PRINT NAME: GMEQ 0, SIGNATURE: Date: